Patient's question:
Detailed medical condition and consultation purpose: Vaginal itching for nearly two years. A short while ago, both my wife and I were found to have a small amount of gonococcal infection, and there was also a small amount of ureaplasma detected. After a cervical pathology biopsy, cervical erosion was found. After more than a month of treatment, mainly with intravenous ceftriaxone and azithromycin, the pathogenic bacteria have disappeared, and there was no microbial imbalance observed under a 10,000 microscope, but I still suffer from severe vaginal itching with mild redness and swelling.Duration and persistence of the current episode: Two and a half months.
Current general condition: Vaginal itching.
Medical history: Previously, I had vaginal itching, and the examinations showed fungal infection.
Doctor's answer:
Hello:You are right. The illness you mentioned is a composite infection. Under other healing conditions, you overlooked the candidal vulvovaginitis. Treating candidal vulvovaginitis can be done using either pure Western medicine or a combination of Chinese and Western medicine.
(1) General treatment: Actively treat other diseases that can cause candidal vulvovaginitis and eliminate susceptible factors. Keep the external genital area clean and dry, and avoid scratching. Abstain from sexual activity during treatment. Avoid spicy and irritating foods.
(2) Changing the vaginal pH: The optimal pH value for Candida growth is 5.5. Therefore, using alkaline solutions to rinse the external genital area and vagina can alter the vaginal pH, inhibiting the growth and reproduction of Candida. You can use 2%–4% baking soda solution to rinse the vagina once or twice daily, with 2 weeks constituting one course. After rinsing, dry the external genital area to maintain dryness and inhibit the growth of Candida.
(3) Vaginal medication: Using imidazole ointments for vaginal medication is highly effective for candidal vulvovaginitis. Clotrimazole suppositories, one per night, are inserted into the vagina after rinsing, with 10–14 days constituting one course; or Daktar suppositories, one per night, are applied to the vagina after rinsing, with 7 days constituting one course.
(4) External ointments: Applying clotrimazole ointment or Daktar ointment externally can treat vulvitis caused by Candida infection, alleviating symptoms of itching and pain in the external genital area. Apply externally several times daily and use for 2 weeks. Eucerin ointment, with econazole as the main ingredient and a small amount of topical steroid treatment agent, has a good anti-itch effect and is suitable for patients with candidal vulvovaginitis or vaginal candidiasis affecting the external genital area.